Unique ID issued by UMIN | UMIN000010600 |
---|---|
Receipt number | R000012391 |
Scientific Title | The effect of bedtime dosing of antihypertensive drug with both alfa and beta sympatholytic action in high-risk obstructive sleep apnea hypertensive patients |
Date of disclosure of the study information | 2013/04/26 |
Last modified on | 2013/04/26 14:07:16 |
The effect of bedtime dosing of antihypertensive drug with both alfa and beta sympatholytic action in high-risk obstructive sleep apnea hypertensive patients
The VSSPS (Vasodilation vs Sympatholytic antihypertensives on Sleep blood Pressure in hypertensive patients with Sleep apnea syndrome) study.
The effect of bedtime dosing of antihypertensive drug with both alfa and beta sympatholytic action in high-risk obstructive sleep apnea hypertensive patients
The VSSPS (Vasodilation vs Sympatholytic antihypertensives on Sleep blood Pressure in hypertensive patients with Sleep apnea syndrome) study.
Japan |
hypertension with obstructive sleep apnea syndrome
Cardiology |
Others
NO
The patients with obstructive sleep apnea syndrome (OSAS) occurs micro-arousal induced apnea during sleep, which lead to sympathetic nervous activation. The blood pressure (BP) surge during sleep in the patients with OSAS might be caused by sympathetic nervous activation. The aim of this study is to compare the effect of carvedilol that have the inhibition of both alfa and beta sympatholytic action with nifedipine on BP surge during sleep in the patients with OSAS.
Efficacy
Exploratory
The difference in the inhibition of BP surge during sleep between two groups.
Maximum, minimum and average BP during sleep, morning BP, AHI
Interventional
Cross-over
Randomized
Individual
Open -no one is blinded
Active
NO
NO
2
Treatment
Medicine |
Carvedilol 10-20mg one time dose, followed by Nifedipine 20-40mg one time dose after the 2weeks washout period.
Nifedipine 20-40mg one time dose, followed by Carvedilol 10-20mg one time dose after the 2weeks washout period.
Not applicable |
Not applicable |
Male and Female
Hypertensive subjects with OSAS (AHI>15/hr) 1) who were diagnosed previously by the polysomnography, 2) who were unwilling to receive continuous positive airway pressure (CPAP), and whose sleep BP (measured by ABPM) >120/70 mmHg, were recruited.
Exclusion criteria as follows
1) The patients treated with anti-sympathetic nervous activation agents
2) The patients with bedtime dosing of antihypertensive drug
3) The patients with congestive heart failure (more than NYHA II)
4) The patients with malignancy
5) The patients with renal failure (serum creatinine >2.0 mg/dL) or performing hemodialysis or severe liver dysfunction
6) The patients with contraindication of these drugs
7) The patients with past history of serious side effects
8) The patients who is not given informed consent by themselves
9) The patients decided inappropriate subjects for this study by physicians
12
1st name | |
Middle name | |
Last name | Kazuomi Kario |
Jichi Medical University School of Medicine
Division of Cardiovascular Medicine, Department of Medicine
3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, JAPAN
+81-285-58-7538
1st name | |
Middle name | |
Last name |
Jichi Medical University School of Medicine
Division of Cardiovascular Medicine, Department of Medicine
3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, JAPAN
Jichi Medical University School of Medicine
None
Self funding
NO
鷲谷病院 Washiya hospital
2013 | Year | 04 | Month | 26 | Day |
Unpublished
Completed
2009 | Year | 06 | Month | 01 | Day |
2009 | Year | 06 | Month | 01 | Day |
2013 | Year | 04 | Month | 30 | Day |
2013 | Year | 04 | Month | 26 | Day |
2013 | Year | 04 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012391